Harrow Health, Inc.

Harrow Health, Inc. (HROW) Market Cap

Harrow Health, Inc. has a market capitalization of $1.60B.

Price: $42.87

0.93 (2.22%)

Market Cap: 1.60B

NASDAQ · time unavailable

CEO: Mark L. Baum

Sector: Healthcare

Industry: Drug Manufacturers - Specialty & Generic

IPO Date: 2007-09-28

Website: https://www.harrowinc.com

Harrow Health, Inc. (HROW) - Company Information

Market Cap: 1.60B|Sector: Healthcare

Company Profile

Harrow Health, Inc. operates as a healthcare enterprise with a specialized focus on ophthalmic solutions. The company's portfolio includes ImprimisRx, a business dedicated to ophthalmology outsourcing and pharmaceutical compounding, as well as DEXYCU, a product utilized for managing post-operative inflammation. Beyond its direct offerings, Harrow Health maintains equity investments in several pharmaceutical ventures. These encompass Surface Ophthalmics, Inc., a clinical-stage firm actively developing and commercializing therapeutic agents for ocular surface diseases; Melt Pharmaceuticals, Inc., another clinical-stage entity concentrating on proprietary non-intravenous sedation and anesthesia treatments for various medical procedures conducted in hospital, outpatient, and office environments; and Eton Pharmaceuticals, Inc., a commercial-stage company involved in the creation and market launch of drug products. Moreover, Harrow Health holds royalty interests in four investigational drug candidates currently being advanced by Surface Ophthalmics, Inc. and Melt Pharmaceuticals, Inc. The company, initially incorporated in 2006 and based in San Diego, California, underwent a name change from Imprimis Pharmaceuticals, Inc. to Harrow Health, Inc. in December 2018.

Analyst Sentiment

92%
Strong Buy

From 10 Active Polls

1Y Forecast: $73.67

▲ +71.8% Potential Upside

Consensus Target Metrics

Low Bound

$63

Median

$70

High Bound

$88

Average

$74

Price & Moving Averages

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🎯 Wall Street Analyst Intelligence Report

1-Year structural target targets, chart projections, and sentiment maps.

Average 1Y Target
$73.67
▲ +71.85% Upside
Low Target
$63.00
47% Risk
Median Target
$70.00
63% Mid
High Target
$88.00
105% Max
Consensus
Buy
10 / 10 Buys

Consensus Trend Projection

Trailing closures vs. 12-month metrics map.

Analyst Vote Distribution

Aggregate institutional coverage sentiment weights.

📊 Historical Valuation Multiples

Real-time Trailing Twelve Month (TTM) momentum side-by-side with discrete quarterly metrics.

Fiscal QuarterTTMQ1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Period EndingTrailing 12MMar 31, 2026Dec 31, 2025Sep 30, 2025Jun 30, 2025Mar 31, 2025Dec 31, 2024Sep 30, 2024Jun 30, 2024
Market Cap ($M)1,5981,3131,8011,7901,1249531,2011,605750
Enterprise Value ($M)1,8041,5191,9801,9671,3021,1161,3831,729871
Price to Earnings Ratio (P/E)-106.68-11.8967.96438.6456.24-13.4044.32-95.09-28.96
Price/Earnings-to-Growth Ratio (PEG)2.7935.411.691.24-146.34-0.70
Price to Sales Ratio (P/S)5.9529.7020.2224.9817.6319.9217.9832.5915.32
Price to Book Ratio (P/B)55.6045.7334.3538.0722.6316.8817.2527.6912.81
Price to Free Cash Flow Ratio (P/FCF)111.92-142.91223.20109.37-1159.5248.98-21.71683.92-242.65
Enterprise Value to Sales (EV/Sales)34.3622.2327.4620.4223.3420.6935.0917.80
Enterprise Value to EBITDA (EV/EBITDA)57.33-92.0797.26169.2481.49-166.7578.81403.79348.04
Debt to Equity Ratio6.5510.474.805.364.664.073.293.383.29
⚠️

Valuation Model Suspended

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📘 Full Research Report

ℹ️

AI-Generated Research: This report is for informational purposes only.

📘 HARROW INC (HROW) — Investment Overview

🧩 Business Model Overview

Harrow Inc is a specialty pharmaceutical company focused on delivering therapeutic products with a meaningful prescription base, primarily in ophthalmology and related chronic-care categories. The model centers on acquiring, developing, and commercializing Rx products (and product line extensions) that can be supplied at scale through established manufacturing arrangements and then distributed through the prescription-channel ecosystem. Value is created by pairing (1) regulatory execution to secure and maintain approvals with (2) commercialization capabilities that drive formulary access and ongoing prescribing for chronic conditions where treatment continuity matters.

💰 Revenue Streams & Monetisation Model

Revenue is generated from product sales, dominated by prescription medications where demand is supported by chronic disease treatment patterns. While prescriptions are transaction-like per fill, the underlying patient care cycle creates a repeat-purchase dynamic—prescribers and patients tend to remain on effective therapies once established, subject to formulary and tolerability considerations.

Margin drivers are primarily:

  • Gross margin profile driven by the degree of differentiation (e.g., label-specific positioning, exclusivity/brand-like economics) versus pure generic pricing pressure.
  • Manufacturing and supply economics, including contract manufacturing efficiency and the stability of input and production costs.
  • Commercial cost intensity (sales force, payer contracting, rebates), which tends to scale with field execution and product mix.

🧠 Competitive Advantages & Market Positioning

Harrow’s moat is best characterized as a combination of regulatory/technical barriers and prescriber-and-formulary stickiness, supported by operational execution in specialty pharmaceuticals.

  • Regulatory & formulation barriers (Hard-to-replicate): Ophthalmic and other specialty dosage forms require stringent quality systems, sterility/consistency standards, and successful regulatory pathways. Competitors cannot easily duplicate product performance and approval timelines.
  • Switching costs and care continuity (Clinical workflow stickiness): Ophthalmology treatment is sensitive to efficacy and tolerability; once a regimen is established, clinicians often avoid switches unless prompted by pricing, access, or clinical need.
  • Formulary positioning (Institutional distribution advantage): Reimbursement and payer placement influence prescribing behavior, and maintaining access requires sustained commercial execution.

Competitive benchmarking:

  • Bausch + Lomb / Alcon (large ophthalmology-focused incumbents): These companies often compete with broader branded portfolios and deeper R&D scale, while Harrow’s competitive focus is narrower and centered on monetizing specialized product categories where execution and access matter.
  • Viatris (and other diversified generics/brands): Larger generic portfolios can exert price pressure. Harrow’s positioning relies more on maintaining differentiation through product-specific fit, approval execution, and commercial continuity rather than competing purely on lowest-cost generic supply.
  • Hikma (specialty/generics in eye care and other categories): Like other generic players, the competitive challenge is standard market access and pricing. Harrow’s differentiator is the ability to sustain a portfolio where regulatory and care-channel implementation reduces direct substitution.

🚀 Multi-Year Growth Drivers

Over a 5–10 year horizon, the opportunity set is driven by specialty pharmacy demand and portfolio-level execution rather than a single product cycle:

  • Secular demand for eye and chronic specialty therapies: Aging demographics and sustained prevalence of ocular diseases support long-duration demand and a stable addressable patient base.
  • Portfolio expansion through line extensions: New strengths, formulations, and adjacent indications can extend the economic life of existing patient relationships and enhance market coverage.
  • Regulatory throughput and product acquisition discipline: Building a pipeline of approvals and securing rights to commercialize products can smooth revenue variability and increase platform durability.
  • Channel and payer execution: Persistent formulary access and field execution can translate into improved share within therapeutic subsegments even when category pricing is competitive.

⚠ Risk Factors to Monitor

  • Regulatory and litigation exposure: Patent challenges, exclusivity disputes, and approval/label risks can affect timing and economics.
  • Pricing pressure and substitution (competitive moat erosion): Increased generic or branded competition can compress margins, especially if differentiation weakens or access deteriorates.
  • Manufacturing and quality risk: Specialty pharmaceuticals face strict quality requirements; supply disruptions or regulatory findings can directly impair revenue and increase costs.
  • Reimbursement and payer contracting dynamics: Rebates, formulary exclusions, and channel mix shifts can change net revenue and margin.

📊 Valuation & Market View

Markets typically value specialty pharma on a combination of revenue durability, gross margin sustainability, and pipeline/launch visibility, using multiples such as P/S for growth and narrative clarity or EV/EBITDA when profitability and operating leverage are more measurable. Key valuation drivers tend to be:

  • Product mix (differentiated share versus commoditized pricing pressure)
  • Gross margin trajectory and the stability of manufacturing economics
  • Commercial execution reflected in net-to-gross and channel access
  • Pipeline credibility (approval milestones and commercialization readiness)

🔍 Investment Takeaway

Harrow’s long-term thesis is anchored in a specialty-pharma platform where regulatory execution, technical/formulation barriers, and prescriber/formulary stickiness support portfolio durability in chronic-care categories. The investment case is most compelling when Harrow maintains product differentiation through approvals and access, while managing manufacturing quality and competitive pricing pressure.


⚠ AI-generated — informational only. Validate using filings before investing.

📰 Market News & Coverage

15 Stories Available

Real-time institutional reporting and market updates for HROW.

zacks.com2026-06-11

HROW Stock Rises on Relaunch of Ophthalmology Drug Verkazia in the US

Harrow shares gain after relaunching Verkazia in the United States, aiming to improve access to an FDA-approved VKC treatment for pediatric patients.

benzinga.com2026-06-11

Harrow Adds Another Piece To Ophthalmology Strategy

Harrow Inc. (NASDAQ:HROW) on Wednesday announced the relaunch of VERKAZIA (cyclosporine ophthalmic emulsion) 0.1%, a prescription treatment for vernal keratoconjunctivitis (VKC), a serious allergic eye condition that primarily affects children.

globenewswire.com2026-06-10

Harrow Re-Launches VERKAZIA® (cyclosporine ophthalmic emulsion) 0.1% for Vernal Keratoconjunctivitis, Addressing Significant Unmet Need in Pediatric Eyecare

NASHVILLE, Tenn., June 10, 2026 (GLOBE NEWSWIRE) -- Harrow (Nasdaq: HROW), a leading provider of ophthalmic disease management solutions in North America, today announced the re-launch of VERKAZIA® (cyclosporine ophthalmic emulsion) 0.1%, a prescription therapy indicated for the treatment of vernal keratoconjunctivitis (VKC), a serious allergic eye disease that primarily affects children.

globenewswire.com2026-05-27

Harrow to Present at William Blair's 46th Annual Growth Stock Conference

NASHVILLE, Tenn., May 27, 2026 (GLOBE NEWSWIRE) -- Harrow (Nasdaq: HROW), a leading provider of ophthalmic disease management solutions in North America, today announced that management will present at William Blair's 46th Annual Growth Stock Conference on Wednesday, June 3, 2026, at 8:40 AM CT, in Chicago, IL.

globenewswire.com2026-05-13

HROW Alert: Monsey Law Firm of Wohl & Fruchter LLP Investigating Harrow for Potential Securities Law Violations

MONSEY, N.Y., May 13, 2026 (GLOBE NEWSWIRE) -- The law firm of Wohl & Fruchter LLP is investigating whether Harrow, Inc. (Nasdaq: HROW) (“HROW”) has violated the federal securities laws after the company advised that VEVYE revenue of $20.9 million during the first quarter of 2026 was below expectations due to an estimated $8 million gross-to-net reduction associated with new commercial coverage for VEVYE.

seekingalpha.com2026-05-12

Harrow, Inc. (HROW) Q1 2026 Earnings Call Transcript

Harrow, Inc. (HROW) Q1 2026 Earnings Call Transcript

marketbeat.com2026-05-12

Harrow Q1 Earnings Call Highlights

Harrow NASDAQ: HROW executives said the company's first-quarter results were weighed down by a discrete revenue issue tied to VEVYE coverage and high-deductible patients, but management repeatedly emphasized that underlying demand for its core ophthalmic products is accelerating.

zacks.com2026-05-11

Harrow (HROW) Reports Q1 Loss, Lags Revenue Estimates

Harrow (HROW) came out with a quarterly loss of $0.63 per share versus the Zacks Consensus Estimate of a loss of $0.43. This compares to a loss of $0.38 per share a year ago.

globenewswire.com2026-05-11

Harrow Announces First Quarter 2026 Financial Results

First Quarter 2026 and Selected Highlights:  VEVYE® delivered record new and total prescription performance (despite an approximate 18% decline in the overall branded dry eye category) VEVYE demand growth on track to deliver 2026 revenue of over $100 million Quarterly revenue of $44.2 million, including a non-recurring gross-to-net revenue adjustment connected to new VEVYE commercial coverage, which lowered Q1 revenue by approximately $8 million IHEEZO® unit demand increased 18% year-over-year, with 82% of units from retina accounts TRIESENCE® unit demand more than doubled year-over-year, the sixth consecutive quarter of growth Second Quarter revenue expected between $71 million and $81 million Full-year 2026 revenue guidance reaffirmed at $350 million to $365 million Cash and cash equivalents of $94.6 million as of March 31, 2026 A Media Snippet accompanying this announcement is available by clicking on this link. NASHVILLE, Tenn.

zacks.com2026-05-04

Analysts Estimate Harrow (HROW) to Report a Decline in Earnings: What to Look Out for

Harrow (HROW) doesn't possess the right combination of the two key ingredients for a likely earnings beat in its upcoming report. Get prepared with the key expectations.

globenewswire.com2026-04-27

Harrow To Report First Quarter 2026 Financial Results After Market Close on May 11, 2026

NASHVILLE, Tenn., April 27, 2026 (GLOBE NEWSWIRE) -- Harrow (Nasdaq: HROW), a leading provider of ophthalmic disease management solutions in North America, today announced that it will report its financial results for the first quarter ended March 31, 2026, on Monday, May 11, 2026, after the market close.

defenseworld.net2026-04-23

State of Alaska Department of Revenue Acquires 14,065 Shares of Harrow, Inc. $HROW

State of Alaska Department of Revenue lifted its holdings in shares of Harrow, Inc. (NASDAQ: HROW) by 807.4% in the fourth quarter, according to the company in its most recent disclosure with the Securities and Exchange Commission. The institutional investor owned 15,807 shares of the company's stock after acquiring an additional 14,065 shares

seekingalpha.com2026-04-20

Harrow: Now Is The Buy Time

Harrow has delivered a decade-long 40% CAGR in revenue, with robust operating leverage and EBITDA margin expansion. Seasonal weakness in Q1 consistently creates compelling entry points, with share prices typically bottoming near the Q1 report date and rebounding sharply later in the year. HROW's 2026 low of $33 suggests a likely move to $100 within the year, reflecting the historical pattern of annual highs being about 3x annual lows.

globenewswire.com2026-04-16

Harrow Announces the Issuance of J-Code for IOPIDINE® 1%

NASHVILLE, Tenn., April 16, 2026 (GLOBE NEWSWIRE) -- Harrow (Nasdaq: HROW), a leading provider of ophthalmic disease management solutions in North America, today announced that IOPIDINE® 1% (apraclonidine hydrochloride ophthalmic solution) has been assigned a permanent J-Code (J2374) by the Centers for Medicare & Medicaid Services (CMS).

prnewswire.com2026-04-14

LogiCare3PL Selected as Distribution Partner by Harrow

OLIVE BRANCH, Miss., April 14, 2026 /PRNewswire/ -- LogiCare3PL today announced it has been selected by Harrow, Inc. (Nasdaq: HROW) as a distribution partner for Harrow's portfolio of ophthalmic disease management solutions.

📊 AI Financial Analysis

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Earnings Data: Q Ending 2026-03-31

"HROW reported Q1’26 revenue of $44.2M and net income of -$27.6M (EPS -$0.74), with net profit margin at -62.4%. QoQ, revenue rose from $89.1M in Q4’25 to $44.2M in Q1’26 (-50.4%), while net income swung from +$6.6M to -$27.6M (down ~-$34.2M). YoY, revenue grew from $47.8M in Q1’25 to $44.2M in Q1’26 (-7.6% YoY), and net income deteriorated from -$17.8M to -$27.6M (down ~-$8.6M YoY). Profitability is highly volatile across the last four quarters: gross margin declined sharply to 61.2% from 79.3% in Q4’25, and operating margin fell back to -50.0%. Operating cash flow in Q1’26 was -$9.0M vs +$8.4M in Q4’25, and free cash flow was -$9.2M, reflecting near-term earnings pressure. Balance sheet resilience remains mixed: cash was $94.6M, but equity is thin at $28.4M (down from $52.1M in Q4’25), while total liabilities remain heavy with long-term debt of $299.8M and net debt of $206.0M. Shareholder returns appear strong on market momentum: the stock is up 77.7% over 1Y, with no dividends reported; therefore total shareholder return is being driven by capital appreciation rather than distributions. Analyst targets (consensus ~$66.5) are above the current ~$41.5 price, implying potential upside if profitability stabilizes. "

Revenue Growth

Neutral

Revenue fell QoQ from $89.1M to $44.2M (-50.4%) and was down YoY from $47.8M to $44.2M (-7.6%), indicating no sustained top-line momentum into Q1’26.

Profitability

Neutral

Net income deteriorated to -$27.6M in Q1’26 from +$6.6M QoQ and from -$17.8M YoY; margins contracted sharply (gross margin 61.2% vs 79.3% in Q4’25).

Cash Flow Quality

Neutral

Operating cash flow swung to -$9.0M in Q1’26 from +$8.4M in Q4’25; free cash flow was -$9.2M, suggesting earnings-driven cash burn during the quarter.

Leverage & Balance Sheet

Caution

Debt load remains substantial (LT debt $299.8M) with thin equity ($28.4M, down from $52.1M). Cash coverage exists (cash $94.6M) but leverage/reserves look stressed.

Shareholder Returns

Good

Strong price momentum: +77.7% 1Y. No dividend payments reported, so total return is dominated by capital appreciation.

Analyst Sentiment & Valuation

Positive

Consensus price target (~$66.5) is well above the current ~$41.5, implying bullish Street expectations contingent on improved margins and cash generation.

Disclaimer:This analysis is AI-generated for informational purposes only. Accuracy is not guaranteed and this does not constitute financial advice.

Fundamentals Overview

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Harrow delivered Q1 2026 revenue of $44.2M and adjusted EBITDA of -$12.7M, with the headline miss largely attributable to an ~$8M VEVYE gross-to-net modeling dynamic tied to the Jan 1 coverage rollout. Management attributes the issue to an unexpectedly large surge in high-deductible volume, especially CVS plan patients, whose out-of-pocket buydowns were ~40% higher than modeled. Corrective business rule changes implemented mid-April (caps/co-pay buydowns/program refinements) are intended to realign net pricing and keep the problem primarily isolated to Q1, with improved net pricing expected meaningfully higher in Q2 and full-year benefit in the back half. Commercial momentum is the core counterweight: VEVYE posted record prescription growth, surpassing XIIDRA in total prescriptions by end of March, while IHEEZO demand continues to expand and TRIESENCE sustains multi-quarter unit growth. Near-term variability persists via IHEEZO channel inventory overhang in Q2, but management sees normalization in Q3/Q4 as packaging updates begin.

AI IconGrowth Catalysts

  • VEVYE: record prescription growth and market share capture; surpassed XIIDRA in total prescriptions as of end of March with higher daily highs/lows indicating demand acceleration
  • IHEEZO: continued build across retina and increasing early adoption in-office; management cites step-change setup from improved pricing, new packaging (multiunit starting Q3), and clinical readouts (ASRS in July; QUELL topline in Q4)
  • TRIESENCE: sixth consecutive quarter of demand growth; ocular surgery accounts (44% of Q1 volume) expected to drive majority of new volume; label expansion study in cataract surgery and pain underway
  • IOPIDINE 1%: permanent J-code effective July 1 (ASP + 6%) to remove reimbursement barrier; incremental contributor in Q3/Q4 with larger impact expected in 2027

Business Development

  • VEVYE: new coverage/commercial benefit manager (CVS) producing ~170% sequential new prescription growth in that plan set
  • IOPIDINE 1%: leverages same in-office call point as IHEEZO (no need to build new relationships)

AI IconFinancial Highlights

  • Consolidated Q1 2026 revenue: $44.2M; adjusted EBITDA: negative $12.7M
  • Q1 revenue reduction: approximately $8M discrete impact tied to VEVYE gross-to-net modeling dynamic from Jan 1 coverage rollout (high deductible mix and faster-rising average out-of-pocket buydowns)
  • Management actions: mid-April business rule changes (caps and co-pay buydowns/program refinements) to realign net pricing; expected to isolate impact primarily to Q1
  • Guidance: full-year 2026 revenue reaffirmed at $350M–$365M; Q2 total revenue expected at $71M–$81M
  • VEVYE outlook: sequential growth expected; reiterated full-year VEVYE goal to exceed $100M revenue
  • Cost/price expectations (Q2+): VEVYE net pricing expected to be notably higher; analyst question implied ~30% increase assumption (management: “roughly 30% increase” for status quo model)
  • IHEEZO net pricing: expected ~20%–25% improvement in 2H 2026; Q2 revenue expected “somewhat muted” due to remaining channel inventory/past pass-through dynamics

AI IconCapital Funding

    AI IconStrategy & Ops

    • Commercial scaling: hired 90+ new sales professionals; VEVYE team doubled (fewer than 50 reps previously; deploying new reps into uncovered/underserved territories)
    • Access+ (cash pay): worked through prior inventory constraints; increasing safety stock and expanding Access+ sales team to return to growth mode
    • IHEEZO packaging: transitioning to 5-pack presentation; multiunit packaging targeted commercially beginning July (management later calls out multipack launch in July)
    • Supply chain normalization: compounded backorders cleared for certain SKUs; rebuilt inventory; restored operational confidence for customers
    • G-MELT (G-MELT/IV opioid-free sedation candidate acquired via Melt): manufacturing campaign scheduled later in Q2 to formalize NDA data package; PK/TOX studies underway with final PK reports anticipated in Q4 2026 and pre-NDA meeting date expected by next quarterly call

    AI IconMarket Outlook

    • Q2 2026 revenue guidance: $71M–$81M total
    • Q1 low point framing: management said Q1 was expected to be the lowest revenue quarter of the year
    • Second-half catalysts explicitly timed: VEVYE expanded coverage economic benefit starting Q2 after mid-April rule changes; BYOOVIZ distributor launch July 1; IOPIDINE permanent J-code effective July 1; IHEEZO multipack/multiunit packaging commercial launch in July; IHEEZO retina data at ASRS in July; QUELL study topline in Q4

    AI IconRisks & Headwinds

    • VEVYE: gross-to-net pressure from high deductible patient mix and higher-than-modeled out-of-pocket buydowns drove ~ $8M discrete Q1 revenue reduction
    • Claims reporting lag: management noted confirmation of the mix shift occurred mid-April due to standard industry lag
    • IHEEZO: channel inventory overhang into Q2 (inventory taken in Q4; loss of pass-through) expected to keep Q2 revenue below prior year levels
    • Product commercialization/regulatory execution risk noted in prepared remarks: ability to make commercially available FDA-approved products/compounded formulations and technologies; FDA approval timing for drug candidates

    Q&A: Analyst Interest

    • Topic: VEVYE gross-to-net—how much is deductible seasonality vs specific buckets; co-pay assistance, high deductible buydowns, cash pay economics; and whether it’s isolated to Q1. Management pinned it on a modeling miss for high-deductible volume and CVS buydowns ~40% higher than other covered patients, with adjustments mid-April aimed to isolate the issue primarily to Q1.
    • Topic: VEVYE economics/ASP and what to assume for Q2 onward; plus whether the rule changes are affecting volume and how out-of-pocket could decline. Management indicated a “roughly 30%” improvement assumption for net pricing and emphasized near-real-time new prescription tracking showing “record days” and no demand degradation after the business rules.
    • Topic: IHEEZO Q2 channel/inventory normalization and packaging rollover to a 5-pack and then multiunit; impacts on revenue timing. Management said Q2 revenue remains “muted” vs last year due to remaining channel inventory from Q4 and pass-through effects, with normalization expected in Q3/Q4 as multipack launches commercially in July; demand/retina new account starts rising into Q2.

    Sentiment: MIXED

    Note: This summary was synthesized by AI from the HROW Q1 2026 earnings transcript. Financial data is complex; please verify all metrics against official SEC filings before making investment decisions.

    📋 Official Regulatory 10-K / 10-Q SEC Filings

    Direct authenticated documentation links to audited SEC database reports for HROW.

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    SEC Filings (HROW)

    © 2026 Stock Market Info — Harrow Health, Inc. (HROW) Financial Profile